2012, 08-14 Permit App: BLD-2012-1311 Storage BldgSpokane
Valleyn
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcenter(@spokanevallev.orn
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Er ACCESSORY BUILDING
fl NEW CONSTRUCTION
❑ DECK
SITE ADDRESS: / 5'' ,
❑ ADDITION/REMODEL
❑ OTHER
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: J //74
C�s7/CAA}/0L/
NAME: t /✓Y! OS 4^E�e�Q ✓
ADDRESS: / ! / S�
CITY: / BGG%// C'
PHONE:
STATE:
FAX: CELL:
ZIP:
CONTACT NAME:
PHONE:
)� fc A4d KIV/
S-oP - r- / 7'0 FAX:
CELL:
CONTRACTOR NAME: se L
95 0/4_./D 6S
MAILING ADDRESS: / / ti /t0 4 /7/
CITY: 5,2, 49(G (j�f'f�yC/ (, STATE: %L/4 ZIP: �� .Z /
PHONE: $ O f iTf U ? J^t7 j FAX: CELL: 5-42 I Pe 7,/," -sq)
CONTRACTOR LICENSE No.: Ser • t /' -I Z 3 ,Q EXPIRES:/D"/ `f " / Z CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
.OX24) 5i49K:id i),/ 4. 0/ Ai 6—
/ &9 9.0 G%t'eA% f/e&A-)%
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height tp Peak:
13 . ,
Dimensions:
2,0,f ...c))< /0
No. of Stories:
/
Total Habitable
Space: 0
Main Floor SQ FT:
Upper Floor SQ FT:
A,/4-
Unfinished Basement SQ
FT: ti// 4
Finished Bae ent SQ
FT: /(//,
Garage SQ FT:
6
Deck/Covered Patio SQ
FT: /
Impervious Surface
Area: /
30% Slopes on
Property: 0
No. of Bedrooms: A44.
Construction Type: ,V,_,o._..kieatSource:_
.I.A
Gewer pr Septic: 54-144-7
TOTAL COST OF PROJECT: $
Project # 6141- fQ/2-131/
li
DISCLAIMER
and agrees by their signature
of this City of Spokanp
the property owner in this titansaction.
Referenced codes are availble
r approval for any violation
itted and subsequently approved
/ —
II
that:
Valley
for
of federal,
iJ
R E ('� F I V P f
1) if this permi is r cons r ion or on a dwe
permit inure to the property owner. 3) The s
4) All uiti i le done in full compliance
review at �ty o#" S�e Valley Permit
state or local laws, codes or ordinances.
be(gre,this,.appli.pati.gr�_c,\p pessed.
v..r t ._ :Ii i ..r- IdI _.H
K-
ling, the dwelling is/will
gnatory is the property
with the City of
Center. 5) The City of
6) Plans or additional
/
(`I. / L
The permitted verifies, acknowledges
be served by potable water. 2) Ownership
owner or has permission to represent
Spokane Valley Development code.
Spokane Valley permit is not a permit
information may be required to be sub
Signature
! 1 = Dated
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
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PLANNING DEPT. APPROVED
BY:
DATE: -5/i`i /z012-
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